HCPCS Code Details - J9356

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J9356
Description

Long description:
Injection, trastuzumab, 10 mg and Hyaluronidase-oysk

Short description:
Inj. herceptin hylecta, 10mg

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code O1E - Other drugs
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2019
Date added Added Jul 01, 2019
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J9356

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
July 1, 2019 - September 30, 2019 10 MG 80.2582866666667 - - - - - -

See also

  • HCPCS J9355 · Injection, trastuzumab, excludes biosimilar, 10 mg  

  • HCPCS J9357 · Injection, valrubicin, intravesical, 200 mg


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”